NURS 101 Chapter 15: End-of-Life Care Williams: Basic Geriatric Nursing, 7th Edition

Chapter 15: End-of-Life Care Williams: Basic Geriatric Nursing, 7th Edition MULTIPLE CHOICE 1. What does an advance directive indicate to the home health nurse? a. The degree of intervention desired for life support b. Who is to manage medical decisions in case of debilitating illness c. Who will manage finances in case of debilitating illness d. The mortuary to be used in the case of death ANS: A 2. The totally competent 76-year-old female with terminal cancer is fatigued and tearful about the ineffectiveness of her treatment. She tells the nurse that she wishes she had never started it but now feels obligated to continue. What would be the most appropriate explanation by the nurse regarding the treatment? a. Once treatment has begun, the doctor should decide about any changes. b. She may change her mind about treatment at any time. c. Decisions about treatment should be made by the person who is her medical power of attorney. d. Cessation of treatment will shorten her life. ANS: B 3. Why might a professional health care provider neglect to educate patients about end-of-life care? a. They fear that patients will perceive that they are giving up. b. They do not want to influence the patient in any decision. c. They want to keep up the patient’s morale. d. They believe that death is a personal failure on their part. ANS: D 4. Why should an 86-year-old man with a terminal illness be encouraged to file an advance directive? a. To demonstrate understanding of his imminent death b. To comply with most hospital policies c. To clarify treatment protocols d. To indicate his wishes regarding end-of-life decisions ANS: D 5. Which patient would be a candidate for hospice care? a. The patient with a life expectancy of only 12 months. b. The patient who agrees to life support. c. The patient who agrees to palliative measures. d. The patient who has a treatable illness. ANS: C NURSINGTB.COM Basic Geriatric Nursing 7th Edition Williams Test Bank This study source was downloaded by from CourseH on :49:37 GMT -05:00 NU RS IN GT B.CO M 6. The patient with terminal liver cancer says to the nurse, “I’m going to take a long time to die, aren’t I? I’m going to get sicker and weaker every day.” What would be the best response by the nurse? a. “You will die in 4 to 6 months.” b. “I don’t want to hear this kind of negative talk. Make use of the time you have.” c. “We have many medications that can make you feel better.” d. “What concerns you the most about dying?” ANS: D 7. The distraught wife of a terminally ill patient complains to the nurse, “My husband has not been shaved, and he has that miserable gown on instead of his own pajamas. Don’t you people care about things like that?” What would be the best response of the nurse? a. “I delayed his morning care because he was sleeping comfortably. I’ll complete his care now that he’s awake.” b. “We’re running late today and I have six other patients to care for. What do you want?” c. “Of course we care! Someone will come to do his care before lunch.” d. “I’m sorry you feel we’re doing such a poor job. I’m doing my best.” ANS: A 8. The nurse becomes tearful at the death of a patient. What would be the most appropriate response of the nurse? a. Leave the room so that the family will not witness the unprofessional behavior. b. Touch the hand of the daughter and say, “We’ll miss your dad.” c. Become occupied with rearranging a floral bouquet until emotions are under c